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    FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN PELAYANAN ANTENATAL CARE ( ANC ) DI WILAYAH KERJA PUSKESMAS KECAMATAN TAMBUSAI UTARA KABUPATEN ROKAN HULU PROVINSI RIAU TAHUN 2019

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    Antenatal Care Visit (ANC) is a visit of pregnant women to a midwife or doctor as early as possible since they feel pregnant to get antenatal care/services. K4 ANC visit to Health Center of North Tambusai 1 Sub-district in 2018 is far from the target set at 43.54%. This study aims to determine the factors related to the utilization of ANC services in Working Area of Health Center of North Tambusai 1 Sub-District, Rokan Hulu District of Riau Province in 2019. The design of this study used analytical survey with cross sectional method. The population in this study were all pregnant women with third trimester pregnancy as many as 65 people and all were sampled by total population sampling technique. Data analysis used univariate and bivariate analysis with chi-square statistical test. The results showed there was a relationship between knowledge factors (p-Value = 0,000), attitudes (p-Value = 0,000), family support (p-Value = 0,000) and needs (p-Value = 0,000) with the utilization of ANC services in the Health Center in 2019. The conclusion shows that the factors related to the utilization of ANC services at the Health Center, namely knowledge, attitudes, family support and needs. It is suggested that Health Center conduct counseling in the workplace to improve MCH by providing information about the benefits of family planning, Toddler Family Development, Youth Family Development and Elderly Family Development

    FORMULASI SEDIAAN MASKER GEL DARI EKSTRAK MENTIMUN (Cucumis sativus L.) KOMBINASI EKSTRAK BUAH LEMON (Citrus limon L.Burm.fil.)

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    Gel mask is a practiced mask which can be removed immediately. Cucumber is a low-calorie fruit, rich water, and vitamin C and flavonoids have an antioxidant effect by cutting off very reactive free radicals that tend to form new radicals and has function as a skin conditioner and antioxidant. Lemon is a fruit that produces antioxidants can counteract free radicals has function as a natural antioxidant, because it contains vitamin C, citric acid, essential oils, flavonoids, polyphenols, coumarin, flavonoids, and volatile oils on the skin. So it is well formulated as a mask. This study used an experimental gel mask consisting of cucumber and lemon, polyvinyl alcohol, HPMC, Glycerin, TEA, Propylparaben, Methylparaben, Aquades, and 70% ethanol with a concentration of 5% and has a ratio of 1:1, 1:3, 3:1. Tests of gel mask preparations were homogeneity, pH, power test time of the preparation dried up, spreadability, organoleptic, and irritation using 12 volunteers. Gel mask formulation of cucumber and lemon extract as an active ingredient is made quite stable, the pH ranges from 6.8-7.5 so it is safe to use. The conclusion is cucumber and lemon extract can be combined as an additional active ingredient in gel mask, the higher the ratio of the addition of cucumber extract a combination of lemon extract, the higher pH produced and obtain that meet the criteria of a good gel mask, irritation test results in gel mask preparations are all in the negative category (-), which means all preparations do not cause irritation, and preparations do not change shape, colour, and aroma

    FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SAFETY DRIVING PADA SUPIR BUS KPUB DI TERMINAL PINANG BARIS MEDAN TAHUN 2019

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    Safety driving is the basis for further driving training that pays more attention to safety for drivers and passengers. In general, the main cause of traffic accidents in North Sumatra is due to human negligence, from the whole series of accidents caused by motorists who pay less attention to their safety. Based on preliminary surveys conducted showed that most drivers do not have safety driving behavior. The purpose of this study was to determine the factors associated with the behavior of safety driving on KPUB bus drivers in Medan Pinang Baris Terminal. This type of research is analytic survey research with cross sectional approach. The study population was all 110 KPUB bus drivers with a total population sample of 110 people. Data analysis used univariate analysis and bivariate analysis with chi-square test statistics. The results of this study indicate that of 110 respondents, as many as 45 respondents (40.9%) had an appropriate safety draving and 65 respondents (59.1%) had an inappropriate safety draving. Bivariate analysis shows that there is an influence of age (p = 0.011 <0.05), years of service (p = 0.032 <0.05) and knowledge (p = 0.003 <0.05) with safe driving behavior on bus drivers KPUB Medan-P.Susu Route in Medan Pinang Terminal. The conclusion of this study is that there is a relationship between age, work period and knowledge with safe driving behavior in the KPUB Medan-P.Susu Route KPUB bus driver in the Pinang Baris Terminal in Medan in 2019. For the Transportation Department of Langkat Regency, it is hoped that this research can be used as material considerations for debriefing / education on the importance of safe driving on the highway to the urban transport driver. Keywords : Age, Years of Service, Knowledge, Safety Drivin

    PENGGUNAAN OBAT KORTIKOSTEROID DIRUANG PERAWATAN ANAK RAWAT JALAN RSUD DELI SERDANG

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    Introduction :Corticosteroids are a group of natural steroid hormones in humans produced by the adrenal cortex glands. Inappropriate use of corticosteroids has the potential to cause serious side effects. Therefore a study was conducted on the use of corticosteroid drugs in pediatric outpatients at Deli Serdang Regional General Hospital District in terms of dosage accuracy. Objective : The research is a non-experimental research with descriptive method and retropective data collection. Method : Data from outpatients pediatrict room in May 2019 were 35 patients who met the inclusion requirements, grouped by age, sex and degree of disease, corticosteroid use was most at the age of 10 years with a percentage of 17,14%, while the most diagnose were ARI (Acute Respiratory Infection) with a percentage of patients 34,29%. Result : The most commonly used corticosteroid drug was was prednisone in the diagnosis of acute bronchitis. The age of children who received corticosteroid drugs at the of 1 to 6 years were 20 patients. The most common diagnosis in pediatric outpatients was ARI. The dosage used for outpatient pediatric still fits the dose that should be on the patient’s therapeutic effect. Conclusion :. Sugestions for furher researcher to conduct research on the rationality of the use of corticosteroids in full using prospective methods, as well as inthe completeness of data, writing information and clarity in writing data in medical records, so that researchers can easily read and get complete data

    UJI EFEKTIVITAS GEL EKSTRAK ETIL ASETAT BUAH BELIMBING WULUH (Averrhoa bilimbi Linn.)TERHADAP BAKTERI Propionibacterium acnes DAN Staphylococcus aureus

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    ABSTRACT EFFECTIVENESS TEST OF OF EXTRACT GEL FORMULATION OF AVERRHOA BILIMBI ETHYL ACETATE (Averrhoa bilimbi Linn.)EXTRACT ON Propionibacterium acnes AND Staphylococcus aureus BACTERIA WARDATUL JANNAH 1701012132 Averrhoa bilimbi (Averrhoa bilimbi L.) is one of the traditional plants that is widely used by the community for treatment, one of its properties as an antibacterial that causes acne because it has content is flavonoids, alkaloids, saponins, terpenoids, and tannins. This study aims to determine whether ethanol extract of Averrhoa Bilimbi can be made in gel preparations and has activity towards inhibition of Propionibacterium acnes and Staphylococcus aureus bacteria. This research was an experimental study in which the extract is obtained by using maceration method with ethylacetate solvent, then made of Averrhoa Bilimbi extract gel with a concentration of 10%, 15% and 20%, then the gel preparation is evaluated by organoleptic test, homogeneity, pH test, dispersion test , irritation test, preference test and antibacterial activity test. Based on these results it can be concluded that the ethyl acetate extract of Bilimbi (Averrhoa bilimbi L.) gel with a concentration of 10% 15% and 20% has provided inhibitory properties against Propionibacterium acnes and Staphylococcus aureus bacteria. Data analysis used one way ANOVA test followed by Tukey test, the results of bacterial inhibition on starfruit fruit extract gel was significantly different (p=.05) so that it affects the inhibition of bacteria. Keywords: Averrhoa Bilimbi, Gel, Antibacterial, Propionibacterium acnes and Staphilococcus aureus ABSTRAK UJI EFEKTIVITAS GEL EKSTRAK ETILASETAT BUAHBELIMBINGWULUH(Averrhoa bilimbi Linn.) TERHADAP BAKTERIPropionibacterium acnes DAN Staphylococcus aureus WARDATUL JANNAH NIM: 1701012132 Buah Belimbing wuluh(Averrhoa bilimbiL.)merupakan salah satutanaman tradisional yang banyak digunakan oleh masyarakat untuk pengobatan, salah satu khasiatnya sebagai antibakteri penyebab jerawat karena memiliki kandunganadalah flavonoid, alkaloid, saponin, terpenoid, dan tannin. Penelitian ini bertujuan untuk untuk mengetahui apakah ekstrak etilasetat buah belimbing wuluh dapat dibuat dalam sediaan gel dan apakah sediaan gel ekstrak etilasetat buah belimbing wuluh memiliki aktivitas terhadap daya hambat bakteri Propionibacterium acnes danStaphylococcus aureus. Penelitian ini merupakan penelitian eksperimental yaitu ekstrak diperoleh dengan menggunakan metode maserasi dengan pelarut etilasetat selanjutnya dibuat sediaan gel ekstrak buah belimbing wuluh dengan konsentrasi 10%, 15% dan 20%, kemudian sediaan geldievaluasi dengan uji organoleptis, homogenitas, uji pH, uji daya sebar, uji iritasi, uji kesukaan dan uji aktivitas antibakteri. Berdasarkan hasil penelitian tersebut dapat disimpulkan bahwa gel ekstraketilasetat buah belimbing wuluh(Averrhoa bilimbiL.) dengan konsentrasi 10% 15% dan 20% telah memberikan daya hambat terhadap bakteri Propionibacterium acnes dan Staphylococcus aureus. Analisa data digunakan uji one way anova dilanjutkan dengan uji tukey, hasil daya hambat bakteri pada gel ekstrakbuah belimbing wuluh berbeda signifikan (p ≤ 0,05) sehingga mempengaruhi daya hambat bakteri. Kata kunci : Buah Belimbing Wuluh, Gel, Bakteri Propionibacterium acnes dan Bakteri Staphylococcus aureu

    EVALUASI KESERAGAMAN BOBOT PARASETAMOL SEDIAAN PULVERES SECARA VISUAL DI APOTEK KOTA MEDAN TAHUN 2019

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    Requests for pulverizes (still divided powder) preparations are still being done extensively by doctors both doctors in hospitals, clinics or private practices in the city of Medan. The distribution of pulverizes which is done visually (invisible) is likely to produce heterogeneity of weight, causing no dosage uniformity of the pulverise. The purpose of this study was to determine the uniformity of the weight of the pulveres preparation in paracetamol which was formulated by a Pharmacy in the City of Medan in accordance with the rules of FI edition III. This type of research was experimental research. The research was conducted in March - June 2019. The sample of this research was paracetamol preparations of pulverizes which were formulated by 21 pharmacies from 21 sub-districts in Medan. Evaluations carried out include weight uniformity test and pulverizes weight deviation test. The results showed that all pharmacies have large deviations or equal to 15%. All pharmacies have large deviations or equal to 15% more than two packs. From the results of tests conducted on pulverise preparations, it can be concluded that 100% (21 pharmacies) do not meet the requirements of FI III. In further research it is advisable to make observations and evaluations related to the pulverise compounding process in Medan City pharmacy and examine the pharmacological effects that result if the pulverise produced do not meet the specified FI III requirements. Keywords: Pharmacy, Pulveres, Weight Uniformit

    FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI 7-12 BULAN DI KLINIK PRATAMA HANNA KASIH MEDAN TAHUN 2019

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    Breastfeeding is very important for optimal growth and development both physically and mentally for a baby. Based on data from the World Health Organization (WHO), globally less than 40% of infants under 6 months are exclusively breastfeeding and the rest are given complementary foods other than breast milk. Objective: The purpose of this study was to determine the factors associated with exclusive breastfeeding in infants 7-12 months in the Hanna Kasih Pratama Clinic in 2019. Methods: The design of this research was analytic survey with cross-sectional approach. The population in this study were mothers who breastfed 7-12 months by 30 respondents. The sample of thsi study amounted 30 respondents using a total population technique. Data analysis was carried out by means of univariate and bivariate analyses (chi-square test). Result: Statistical test results using the results of the chi-square test, the results of the p-value of knowledge by giving exclusive breastfeeding is .007<.05, the results of p-value attitude with exclusive breastfeeding are .013<.05, the results of p-value of work by exclusive breastfeeding are .004<.05, the results of p-value of family support by exclusive breastfeeding is .042<.05. The conclusion from the results of this study shown the relationship of knowledge, attitudes, work, family support with exclusive breastfeeding fwas found. It is expected that health workers at the Hanna Kasih Pratama Clinic in Medan will further improve services to provide information to nursing mothers to provide exclusive breastfeeding to infants

    FREKUENSI PEMAKAIAN OBAT TBC PRIMER DI PUSKESMAS MEDAN DENAI

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    Penyakit TBC merupakan masalah yang besar bagi negara berkembang termasuk indonesia, karena diperkirakan 95% penderita TBC berada dinegara berkembang, dan 75% dari penderita TBC tersebut adalah kelompok usia produktif (15-50 tahun).Tujuan penelitian ini adalah untuk mengetahuifrekwensi pemakaianobat TBCPrimer di Puskesmas Medan Denai Kota Medan. Metode penelitian yang digunakan adalah penelitian survey dengan melakukan pengumpulandan pengolahan data tentang frekwensi pemakaianobat TBCPrimer pasien rawat jalan di Puskesmas Medan Denai Kota Medan. Hasil penelitian yang dilakukan di Puskesmas Medan Denai Kota Binjai dari bulan Januari sampai Juni dapat di ketahui bahwa pemakaian obat datanya dari bulan januari – juni 2019 adalah obat 3 FDC dengan jumlah 23 (56,10%), kemudian 4 FDC dengan jumlah 14 (34,15%), selanjutnya obat 2 FDC dengan jumlah 3 (7,32%) dan terakhir 5 FDC sebanyak 1 (2,44%). Pada bulan Januari sampai bulan Juni penggunaan obat TBC yang paling banyak yaitu: adalah obat 3 FDC dengan jumlah 23 (56,10%). Diharapkan kepada peneliti selanjutnya dapat memberikan PIO (Pelayanan Informasi Obat) tentang Obat TBC Primer di Puskesmas Medan Denai Kota Medan

    IMPLEMENTASI PERATURAN DAERAH KOTA MEDAN NO 3 TAHUN 2014 TENTANG KAWASAN TANPA ROKOK DI KANTOR PENGADILAN NEGERI MEDAN

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    Peraturan Daerah Kota Medan No 3 Tahun 2014 Tentang Kawasan Tanpa Rokok (KTR) mewajibkan fasilitas pelayanan kesehatan, tempat proses belajar mengajar, tempat anak bermain, tempat ibadah, angkutan umum, tempat kerja, dan tempat umum yang ditetapkan menerapkan kawasan tanpa rokok. Kantor Pengadilan Negeri Medan adalah salah satu tempat kerja yang menerapkan kawasan tanpa rokok. Penelitian ini bertujuan untuk mengetahui Implementasi Peraturan Daerah Kota Medan No 3 Tahun 2014 Tentang Kawasan Tanpa Rokok DiKantor Pengadilan Negeri Medan. Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan fenomenologi. Teknik pengambilan informan menggunakan purposive sampling dan diperoleh informan sebanyak 11 orang. Metode pengumpulan data dilakukan dengan wawancara mendalam dan observasi. Hasil penelitian menunjukkan bahwa komunikasi di Kantor Pengadilan Negeri medan belum berjalan dengan efektif dalam hal sosialisasi serta tidak adanya penyeruan secara langsung dari pemerintah kota Medan, tidak ada staf pelaksana untuk mengawasi Implementasi KTR dan pedoman khusus sebagai informasi bagi pelaksana kebijakan KTR di Kantor Pengadilan Negeri Medan, tidak adanya sanksi yang tegas terhadap pelanggaran KTR, dan belum ada dibentuk komite atau kelompok kerja KTR di Kantor Pengadilan Negeri Medan. Penelitian ini menyarankan kepada Pihak pimpinan Kantor Pengadilan Negeri Medan agar melakukan sosialisasi penerapan KTR sebagai pemberitahuan secara jelas dan konsisten kepada pelaksana kebijakan agar implementasi KTR dapat berjalan dengan baik sesuai yang tertuang dalam PERDA KTR

    FORMULASI SHAMPO DARI EKSTRAK BIJI PEPAYA (Carica papaya L.) DENGAN VARIASI KADAR KULIT PISANG (Musa acuminata L.) DAN UJI AKTIVITAS TERHADAP JAMUR Pityrosporum ovale

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    Background: Horticultural wastes are including plants that still have the potential to be used as ingredients, antimicrobials, flavors, coloring agents, and as food fiber. One of the potential wastes is papaya seeds and banana peel. Shampoo was chosen because it is one of the cosmetic products that is often used daily. Objectives: The purpose of this study was to determine the effect of ethanol extracts of papaya (Carica papaya L.) seeds and ethanol extracts of banana peels (Musa acuminata L.) in shampoo formulations and in meeting shampoo quality test requirements. Method: This research type was exsperimental with extract method using maceration. The research included making extracts, extract phytochemical screening tests, shampoo dosage formulations and evaluating the quality of shampoo dosage form. Results: The results obtained from this study were ethanol extracts of papaya seeds and banana peels were positive containing compounds such as alkaloids, tannins, flavonoids, glycosides, saponins and steroids. Shampoo formulation of Papaya seed ethanol extract combine with banana peels have a distinctive odor, were green and in the form of thick liquid with a high foam of 3.0-3.6 cm, have a pH formulation that range between 6.2-6.7 and have stability storage until week 12. The most preferred form of shampoo for panelists in terms of color and odor, shape/consistency, and appearance was formula III. This formulation has no side effects in the form of redness, itching and skin rooting. The results of antifungal activity test shows the results of shampoo preparations in the positive control resulting in 20,38 mm diameter, formula III produces a diameter of 19.90 mm, formula II produces a diameter of hate16.87 Formula I produces a 10.40 mm barrier diameter. Conclusion: The conclusion of this study shows that the ethanol extract of papaya (Carica papaya L.) Seeds and the ethanol extract of banana peels (Musa acuminata L.) can be formulated into shampoo dosage form and meet the requirements of the formulation of quality tests on organolpetis, high foam, pH stability and irritation test form

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